All the doctors provide family planning services in normal surgeries. The practice nurses are trained to give family planning advice and information is also available to take away in the form of leaflets. IUDs (Mirena) and IUCDs (coils) need to be discussed with your doctor before making an appointment. Special longer appointments are reserved for those with the doctors who fit them. FOR URGENT ADVICE FOR THE MORNING AFTER PILL PLEASE ASK TO SPEAK TO A DOCTOR OR NURSE. This should be obtained on the next working day. The practice nurses hold a "drop-in" emergency contraception clinic every weekday between 4.00 - 4.30pm which can be attended without appointment whether the patient is registered at Balmoral or elsewhere.
If you are planning a pregnancy it is important to be healthy and to eat well. Include foods containing folic acid (mainly green vegetables) and take folic acid supplements available without prescription at pharmacies, health food shops and supermarkets. A prescription is not needed as this can be bought over the counter at the chemist from before conception until the twelfth week of pregnancy. The doctors are happy to see you for further pre-pregnancy advice before you become pregnant.
The Practice Nurses offer a sexual health/contraception advice drop in clinic to young people every weekday from 4pm. Please just ask at reception when you arrive. No appointment is necessary and you don’t need to be registered at this Practice to access this clinic.
Dover Health Centre – Sexual Health - Telephone: Call 0300 790 025 from 09:00 to 17:00 For information, please call the central booking line, open Monday to Thursday 8am to 7pm, Friday 8am to 5pm and Saturday 9am to 12pm
We offer flu vaccinations from September every year. These are for children (details available from reception) and for people aged 65 years and over and anyone suffering from heart or kidney disease, diabetes, asthma, COPD, immunosuppression and those in residential care.
Appointments can be made at reception from the beginning of September.
We are not dentists! If you have a problem with your teeth eg toothache or an abscess then it is your dentist you need to see. If you are registered with a dentist, check how to obtain emergency treatment. There is now an emergency dental clinic at Kent and Canterbury Hospital (01227 766877) and QEQM, Margate (01843 225544).
We do not become dentists at night! If you have difficulty in finding a dentist go to the NHS website.
Integrated Sexual Health Service – Kent Community Health NHS Foundation Trust (KCHFT)
In early 2020 due to the COVID pandemic, walk in and wait STD clinics were ceased and moved to telephone triage. Patients are asked to call the Central Access Team (CAT) on 0300 790 0245 where they will be able to speak to one of their care navigators and have their care managed by one of the following methods:
- For HIV/Syphilis/Chlamydia/Gonorrhoea/hepatitis/TV, patients will be referred to their online home test kit provider who offer at home screening.
- For LARC (long-acting reversible contraception) patients will be provided with a website where they can access an E-refferal form so they can request a new/exchange or replacement of their device – LARC is only offered for contraception and not HRT or to control bleeding issues.
- Given a slot on the telephone triage line, where a Clinician will call them back to complete a sexual health assessment and the offer of a face to face appointment if required.
Patient can also send an SMS to 07401 302401
NHS Health Check - Due to the Coronavirus Pandemic this service is not currently available
The Government has introduced an NHS Healthcheck for all patients aged between 40 and 74. Patients registered with Balmoral Surgery will receive an invitation to attend at the practice on a rolling programme within the next five years in the year that their age ends in a 0 or a 5 or they are 74. Patients who are already receiving care for a vascular related problem or who have already had tests done that would be performed at this healthcheck will not be invited.
Any patient registered at Balmoral who has not had a consultation with a Clinician here for three years, is welcome to ask for an appointment to see a healthcare professional for a routine check up.
The practice runs its own child immunisation service. Eight week health checks and all pre-school immunisations are conducted at the surgery and arranged by our Nurse Clerk. Immunisations are given by the practice nurses at the surgery. The current schedule for children born after 01.01.2020 for immunisation is set out below. It is very important that you have your child immunised for their own safety. Serious reactions to vaccines are very rare and far less common than serious reactions to the diseases they help prevent.
||First 6 in 1 (Diphtheria, tetanus, pertussis, polio, Hib and hep b) – Infanrix Hexa)
Meningitis B – Bexsero
Rotavirus – Rotarix – given by mouth
||Second 6 in 1 (Diphtheria, tetanus, pertussis, polio, Hib and hep b)
Pneumococcal conjugate vaccine (PCV) – Prevenar 13
||Third 6 in 1 (Diphtheria, tetanus, pertussis, polio, Hib and hep b)
Second Meningitis B
|12 - 13 months
||Hib & Meningitis C - Menitorix
First MMR (measles, mumps and rubella) MMR VaxPRO or Priorix
Third Meningitis B
|3.4 - 4.5 years
|(Diphtheria, tetanus, pertussis, polio booster) Repevax or Boostrix-IPV
|12 - 13 years
(Girls & Boys)
|HPV two jabs given within 6 – 24 months. (This will be administered by the school. If missed at school can be administered at the surgery)
|Before leaving school
||Diphtheria, tetanus and polio, Men ACWY vaccination (This will be administered by the school. If missed at school can be administered at the surgery)
The Sick Child
It is often difficult to know when to seek help about a poorly child, especially your first. Here is some general advice we hope is helpful. There are no hard and fast rules and if in doubt speak to your doctor or health visitor or NHS 111.
In general, a child who is drinking, happily playing or watching television is unlikely to have anything seriously wrong. Your child will not be made worse by being brought to the surgery.
Children whose parents smoke have more coughs, chest and ear infections than those whose parents don’t. Babies should not be placed on their stomachs in the cot and if unwell should be kept in the parents' room at night. A child with a temperature should have clothing reduced until cool and (if over three months) given paracetamol syrup (Calpol or Disprol).
Important symptoms are a refusal to drink, a faster rate of breathing, persistent stomach pains or vomiting, neck pain or stiffness, unusual drowsiness. It is important to note that in small babies an illness can develop quickly without the above and persistent crying or refusal of food, if the child appears unwell, should lead you to contact the doctor.
Earache will usually settle with paracetamol or ibuprofen (Nurofen for children) but if associated with a fever or persisting for several days this should lead you to come to the surgery. Earache is not an emergency though it is distressing with no magic answer.
Meningitis is a rare but serious disease caused by a variety of different germs.
Bacterial Meningitis can come on very quickly. The symptoms are a very ill looking child (or adult) with a severe headache, neck pain or stiffness which is made worse by bending forwards, light hurting the eyes, vomiting, drowsiness, confusion or a rash like a little blood blister or bruise which does not fade on pressing. If you suspect Meningitis contact the doctor straight away. A child with a headache without the above symptoms should initially be treated with paracetamol. Close contacts of proven bacterial Meningitis will often be contacted by the public health department. Contacts of contacts who are not ill are not at increased risk.
Immunisation can prevent some forms of this disease.
The practice takes the risks of cross-infection very seriously. If you feel that you may have an infectious condition please let the staff know so they can make arrangements to limit the risks of spreading. Most cross-infection including flu and respiratory conditions are dramatically reduced by simple hand-washing with soap and water.
Minor Surgery - Due to the Coronavirus Pandemic this service is not currently available
All the doctors are registered for this and usually carry out minor operations at the Surgery.
Vaccines for occupational health purposes, such as Hepatitis B, are normally provided by the employer’s occupational health service.
Referral To Hospital
If your doctor feels you need to be seen in a hospital, you will be offered a choice of where you are seen. This will be the various local hospitals and further afield and also includes the NHS-funded private sector services. Access to choice may be made when you discuss the referral with your doctor, or via Choose & Book, telephone or computer systems.
The practice is unable to arrange hospital transport to outpatient appointments. Patient Transport is a service provided by G4S on behalf of the NHS Clinical Commissioning Groups across Kent and Medway. To book patient transport please telephone 0800 096 0211. It is designed to support you if your medical or physical condition means you cannot use public transport, get a lift, or drive yourself to, and from, your NHS appointment. The criteria for patient transport are very strict and determined purely on medical need. There is also a volunteer-run hospital car service for which a charge is made.